Organization Active NPI

Mohr Medical LLC

  • Clinic/Center
  • Atlantis, FL
National Provider Identifier
1285286229
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOHR MEDICAL LLC
Practice address
101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone
(561) 612-8080
Fax
(561) 612-8084
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth Mohr, MDNPI 1447425418
Title
Owner
Phone
(561) 612-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

101 John F Kennedy Dr
Atlantis, FL 33462-1119

Mailing address

101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone (561) 612-8080

Other identifiers 1

IdentifierTypeStateIssuer
008849700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL athena

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730000992 FL Part B Supplier - Clinic/Group Practice 7214263235 Receives reassigned benefits from 7 practitioners
Practice locations: Atlantis, FL

National Provider Directory

National Provider Directory

Locations

2000 Continental Dr
Ste B
West Palm Beach, FL 33407
Phone (561) 744-1295

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1285286229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-612-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008849700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athena",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "130 JFK Dr Ste 134",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334621133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.